Sleep Disorder as it relates to Psychiatry Flashcards

1
Q

No matter the cause, ________ is often an underlying problem that exacerbates insomnia?

A

poor sleep hygiene

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2
Q

Bipolar Disorder’s effects on sleep

A

Insomnia is a sign of impending mania

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3
Q

Depression’s effects on sleep

A

Fragmented sleep, decreased total sleep time, earlier onset REM

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4
Q

What is the first line of treatment for sleep issues

A

First line should always be sleep hygiene

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5
Q

What is some corrective actions for sleep hygiene

A

(a) No caffeine/nicotine in evening
(b) Daily exercise regimen (avoid evening workouts)
(c) Avoid alcohol
(d) Limit fluids in evening
(e) Relaxation techniques

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6
Q

What treatment is best for acute therapy
-Used when sleep hygiene is ineffective

A

Antihistamines beneficial and produce no dependency
1) Hydroxyzine
2) Diphenhydramine
-Trazadone
1) Long term use

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